| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $414.10 | $4,142.12 | $11,093.00 | |
Anthem BCBS
| Facility | $1,683.00 | $11,305.00 | $30,091.00 | |
CareSource
| Facility | $377.99 | $491.39 | $5,050.77 | |
Cigna
| Facility | $711.69 | $761.00 | $5,521.06 | |
United
| Facility | $3,300.00 | $11,200.00 | $17,416.00 |